Individual
DAVID TINMAN EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7011 SE 44TH AVE, PORTLAND, OR 97206-7700
(503) 544-7773
Mailing address
7011 SE 44TH AVE, PORTLAND, OR 97206-7700
(503) 544-7773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23-02-20248
OR
101YM0800X
Mental Health Counselor
Primary
L11134
OR
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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